Eastern Upper Peninsula Early Childhood Programs & Services

 

Initial Packet to family must include: Referral Letter, Consent to Screen, Authorization Share Information Form, Getting To Know Your Child, IDA Parent Health Form, Family Right brochure, Welcome to Early On Guidebook.

 

If found eligible: Please have family complete Early On Consent to Evaluate & notify service coordinator right away. Complete screening report and send to family and coordinator. 

 

If found ineligible: Complete screening report and provide copy to Early On Coordinator & Complete Referral Follow-Up form.

 

Screening Checklist 

 

Contact Log 

 

 

Consent To Screen 

 

Getting To Know Your Child Form 

 

Screening Report 

 

Referral Follow Up Form 

 

 

*Please keep all screening files in black file cabinet at ISD main office.  

 

 TRANSITION: